Source. A collection of Meddit resources and advice on what bread-and-butter topics interns would most benefit from brushing
up on/memorizing prior to the beginning of their internship.
1) Fluids. How and when to use them, dosage, timing and other pearls.
5) Initial work-up and treatment of dyspnea. (more realistic to approach by symptoms as, unfortunately, you first have to diagnose whats wrong. E.g. heart failure, pulmonary edema, embolism, COPD, pneumonia).
6) Initial work-up and treatment of oliguria/anuria.
7) A sensible initial approach to suspected ileus.
8) Blood. When, how, why to replace.
9) Pain. Optimal management without inducing narcosis.
An alternative EKG course that takes you through all the basics. This however has no free version and costs 96$ a year. The quality is amazing. Here are 6 basic sample videos on youtube. The paid course is available on http://www.ecgteacher.com/
I have to admit I haven’t used this course personally but his free youtube videos are on-point and he seems like a good teacher. Also behind paywall. Free youtube samples are here. The full course can be found here https://www.ecgacademy.com.
– If you like Dr. Mattu’s cases (and you most certainly will) he is still posting every single week on his new site https://ecgweekly.com. It costs 4 starbucks coffees a year and is going to save someones life.
Four months have come and gone, and I am slowly starting to rebuild my life without him.
I cry a lot less now, shedding a tear or two maybe once a week. A gut-wrenching ache still comes out of nowhere sometimes, when I’m reminded of a particularly heartwarming or tender moment.
I can’t imagine ever meeting anyone who will love me as unconditionally, for and not despite my quirks, but I mosey on, swiping left and right in a myriad of dating apps, each profile being compared unintentionally to him.
I finished my Rome book and have now begun one about Pompeii. I’m 65 pages in and I already love it: yes, it covers the volcano, but most of the book is about “this is what the town and daily life of it would have been like, actually.” Fascinating stuff. Things I’ve learned so far:
- The streets in Pompeii have sidewalks sometimes a meter higher than the road, with stepping stones to hop across as “crosswalks.” I’d seen some photos before. The book points out that, duh, Pompeii had no underground drainage, was built on a fairly steep incline, and the roads were more or less drainage systems and water channels in the rain.
- Unlike today, where “dining out” is expensive and considered wasteful on a budget, most people in Pompeii straight up didn’t have kitchens. You had to eat out if you were poor; only the wealthy could afford to eat at home.
- Most importantly, and I can’t believe in all the pop culture of Pompeii this had never clicked for me: Pompeii had a population between 6-35,000 people. Perhaps 2,000 died in the volcano. Contemporary sources talk about the bay being full of fleeing ships. Most people got the hell out when the eruption started. The number who died are still a lot, and it’s still gruesome and morbid, but it’s not “an entire town and everyone in it.” This also makes it difficult for archeologists, apparently (and logically): those who remained weren’t acting “normally,” they were sheltering or fleeing a volcano. One famous example is a wealthy woman covered in jewelry found in the bedroom in the glaridator barracks. Scandal! She must have been having an affair and had it immortalized in ash! The book points out that 17 other people and several dogs were also crowded in that one small room: far more likely, they were all trying to shelter together. Another example: Houses are weirdly devoid of furniture, and archeologists find objects in odd places. (Gardening supplies in a formal dining room, for example.) But then you remember that there were several hours of people evacuating, packing their belongings, loading up carts and getting out… maybe the gardening supplies were brought to the dining room to be packed and abandoned, instead of some deeper esoteric meaning. The book argues that this all makes it much harder to get an accurate read on normal life in a Roman town, because while Pompeii is a brilliant snapshot, it’s actually a snapshot of a town undergoing major evacuation and disaster, not an average day.
- Oh, another great one. Outside of a random laundry place in Pompeii, someone painted a mural with two scenes. One of them referenced Virgil’s Aeneid. Underneath that scene, someone graffiti’d a reference to a famous line from that play, except tweaked it to be about laundry. This is really cool, the book points out, because it implies that a) literacy and education was high enough that one could paint a reference and have it recognized, and b) that someone else could recognize it and make a dumb play on words about it and c) the whole thing, again, means that there’s a certain amount of literacy and familiarity with “Roman pop culture” even among fairly normal people at the time.
I'm 19 and already my friends from high school have pretty much grown up and gotten 'real jobs'. My 20yo brother gets paid several thousand dollars a fortnight for his office job. In the beginning, did you feel like maybe you'd made the wrong choice? That maybe your happiness wasn't worth the scrimping and saving and the questions of "Where is THAT going to get you?"
Sort of. I mean, for most of my twenties I was a broke freelance journalist, bringing up a young family. And my friends had real jobs, in banks and suchlike places. I had entrepreneurial cousins who made lots of money. And I just wanted to write my stories.
But if I ever stopped and thought about money, it wasn’t for very long. I’m not very interested in it. I’m definitely not motivated by it. My goal was to earn enough by writing that I didn’t have to worry about paying the gas or the electricity or the phone bill. Once I got there, which I did about age 28 or 29, life got infinitely easier.
You haven’t seen Tampopo? It’s like a western, one of those stories in which a stranger rolls into town and helps a family down on their luck. Only it isn’t that at all. Such an inspiring, cheering, sensible film.
Also, directed by Juzo Itami. We would have many more amazing films by him if he hadn’t been murdered by the Yakuza.
From Wikipedia:
Itami died on December 20, 1997 in Tokyo, after falling from the roof of the building where his office was located. On his desk was found a suicide note stating that he had been falsely accused of an affair and was taking his life to clear his name. Two days later, a tabloid magazine published a report of such an affair.
However, no one in Itami’s family believed that he would have taken his life or that he would be mortally embarrassed by a real or alleged affair. In 2008, a former member of the Goto-gumi, a yakuza group, told a reporter, Jake Adelstein: “We set it up to stage his murder as a suicide. We dragged him up to the rooftop and put a gun in his face. We gave him a choice: jump and you might live or stay and we’ll blow your face off. He jumped. He didn’t live.”
Hello Mr.Gaiman, i know you’ve heard this a million times but I wanted to let you know that you’re my biggest motivation and the reason I still make art. Anyways, I just finished The Ocean at the End of the Lane and in an interview at the end you give a recipe for the lemon pancakes which was so so good. I just turned 25 and instead of cake I had your porridge recipe which was also amazing. I was wondering if you had any other recipes to share? Thanks for everything :)
